Individual
MARY JANE WITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2402 NORTHWEST 195TH PLACE, SHORELINE, WA 98177-2932
(206) 364-3777
(206) 364-3999
Mailing address
2402 NORTHWEST 195TH PLACE, SHORELINE, WA 98177-2932
(206) 364-3777
(206) 364-3999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00000540
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7682651
—
WA
Enumeration date
05/16/2007
Last updated
10/25/2016
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